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Organization
NATIONAL MENTOR HEALTHCARE NETWORK
Active
Organization
NATIONAL MENTOR HEALTHCARE NETWORK
Active
Other names
New Jersey MENTOR
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
2301 ATCO AVE, ATCO, NJ 08004-1714
(732) 627-9890
Mailing address
80 COTTONTAIL LN STE 330, SOMERSET, NJ 08873-1100
(732) 627-9890
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
09/21/2017
Last updated
03/04/2023
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